SSPI-SMM-05-08

SUB-SEE PHILIPPINES INC. Rev # 00.01

Date issued: 08-07-11

Date revised: 14-05-15

Vessel:

TOOLBOX MEETING CHECKLIST

All personnel involved in the work activity must participate in the Toolbox Meeting ( TBM )and sign below as present.
The TBM objective is to communicate the Activity Task Assessment and capture any specific controls not already identified to the work party.
Work Location: Work Activity:

Date: Discipline:

CHECKLIST / PROMPT ( Tick where appropriate )

Type of operation to be executed Work Equipment Hazardous substances used/ present
Methods/ procedures to be adopted Production/ operational constraints Isolation requirements
PTW precautions/ controls Human Factor assessment Conflicting activities
Safety equipment location Crane/ lifting requirements Environmental considerations
Individual responsibilites for controls Confined space entry requirements Waste Management
Access/ egress Manual handling Working environmental conditions
Tests/ monitoring Potential hazards
OPERATIONS SUMMARY

EQUIPMENT SUMMARY

SAFETY TOPICS DISCUSSED

ATTENDEES
Print Name Signature Print Name Signature

TALK CONDUCTED BY
Planned By: Print Name: Signature: Date: Procedures

Risk
Meeting Carried Print Name: Signature: Date: Assessment
Out By: Other
Documents